Organization
SOUTHERN ORTHOPAEDICS & SPORTS MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED LAUREL PEREZ JR. MD (PRESIDENT)
(956) 213-8881
Entity
Organization
Contact information
Practice address
5009 S MCCOLL ROAD, EDINBURG, TX 78539
(956) 213-8881
(956) 213-8886
Mailing address
5009 S MCCOLL ROAD, EDINBURG, TX 78539
(956) 213-8881
(956) 213-8886
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F8611
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
F8611
TX
207XS0106X
Orthopaedic Hand Surgery Physician
F8611
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
F8611
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
F8611
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
F8611
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
F8611
TX
207XX0801X
Orthopaedic Trauma Physician
F8611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080013801
—
TX
Enumeration date
02/27/2007
Last updated
07/10/2008
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